偏头痛患者视野缺损与光学相干断层扫描结果的相关性
Correlation of visual field defects and optical coherence tomography finding in migraine patients.
作者信息
Salman Abdelrahman Gaber, Hamid Mahmoud Ahmad Abdel, Mansour Dina Ezzat
机构信息
Ain Shams University, Abbasia Street, Cairo, Egypt.
出版信息
Saudi J Ophthalmol. 2015 Jan-Mar;29(1):76-80. doi: 10.1016/j.sjopt.2014.06.008. Epub 2014 Jul 1.
AIM OF WORK
The aim of our work was to detect any structural or functional visual defects during and in between the attacks in patients with migraine.
PATIENT AND METHODS
Sixty patients with migraine as well as sixty age and sex matched controls were included. All cases were subjected to full ophthalmological examination. Cases with any previously known optic nerve abnormalities or with history of increased intraocular pressure were excluded from this study. A full threshold 24-2 automated perimetry as well as optical coherence tomography (OCT) were performed for retinal nerve fiber layer (RNFL) thickness. Correlations between results of study group with migraine and controls were analyzed and recorded.
RESULTS
There was a statistically significant difference between the patients with migraine and the controls in visual field analysis which was (P < 0.05) for generalized visual field deficits and (P < 0.001) for localized visual field deficits during the attack with no statistically significant difference in visual field in between the attacks (P > 0.05). OCT RNFL thickness had no statistically significant difference between migraine and control groups (P > 0.05).
CONCLUSION
Migraine can cause functional ocular disorder without any structural abnormalities.
工作目的
我们工作的目的是检测偏头痛患者发作期间及发作间歇期的任何结构或功能性视觉缺陷。
患者与方法
纳入60例偏头痛患者以及60例年龄和性别匹配的对照者。所有病例均接受全面的眼科检查。本研究排除任何既往已知视神经异常或有眼压升高病史的病例。对视网膜神经纤维层（RNFL）厚度进行全阈值24-2自动视野检查以及光学相干断层扫描（OCT）。分析并记录偏头痛研究组与对照组结果之间的相关性。
结果
偏头痛患者与对照组在视野分析方面存在统计学显著差异，发作期间的广泛性视野缺损差异为（P < 0.05），局限性视野缺损差异为（P < 0.001），发作间歇期视野无统计学显著差异（P > 0.05）。偏头痛组与对照组之间的OCT RNFL厚度无统计学显著差异（P > 0.05）。
结论
偏头痛可导致功能性眼部疾病，而无任何结构异常。
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